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RN Homecare Quality and Performance Improvement Manager
1 month ago
Masonicare Corp is seeking a highly skilled RN Homecare Quality and Performance Improvement Manager to join our team. This role will be responsible for managing, facilitating, and implementing quality management and quality improvement programs at Masonicare Home Health & Hospice.
Key Responsibilities- Champion quality improvement processes throughout Masonicare Home Health & Hospice, ensuring a standardized and unified approach to achieve documentation compliance and outcome goals.
- Manage clinical oversight of coding and 485 review to facilitate quality outcomes and documentation compliance with CoPs, state regulations, coding standards, and payor requirements.
- Manage auditing of OASIS review outsource to facilitate timely, accurate, and consistent performance; escalate performance concerns impacting quality outcomes.
- Use Strategic Healthcare Programs software to support review of documentation.
- Discuss any noted documentation discrepancies with Directors, clinical managers, and clinical staff as appropriate.
- Participate in quality and committee activities as necessary.
- Identify and facilitate education regarding key quality initiatives/targets/goals (based on federal, state, and best practice guidelines) for the organization.
- Facilitate appropriate documentation and OASIS education as indicated.
- Track infection trends for employees and patients based on DPH and CDC guidelines and participate in Masonicare Infection Committees.
- Track, analyze, and collect data for the purpose of demonstrating the efficacy of our improvement processes.
- Develop Performance Improvement projects based on key performance indicators and facilitate implementation in the agency.
- Assist with development of yearly and long-term quality management plans, including required and specialty audits based on service delivery trends and/or general agency/industry trends.
- Manage and assist with clinical record review and general chart audits per the PI Plan, federal, and state regulations, and guidelines.
- Participate in the completion of and present quality reports as requested.
- Participate in branch staff meetings as needed.
- Work closely with Risk Management in regards to the tracking of sentinel and/or adverse events and translating this to the QI process.
- Responsible for processing additional documentation requests (ADRs) and appealing denials.
- Participate in requisite committee/board meetings, including the Professional Advisory Committee meetings.
- Participate in CMS and DPH audits/visits/investigations as required/requested.
- Assist with the professional development of assigned staff, including participation in orientation, collaboration with education on necessary in-services, ongoing skill development, and other mentoring activities.
- In conjunction with the Director and Human Resources, participate in staff recruitment and selection of potential hires.
- Understand the mission of Masonicare by recognizing the population we serve as unique persons, requiring individual alternatives to maintain full lives in their later years.